Table 3.
Odds of Case-Managed Patients Being Adherent to Diabetes Guideline for HbA1c and LDL
HbA1c Overdue | HbA1c Completed if Overdue | HbA1c<7.0 | LDL Completed if Overdue | |||||
---|---|---|---|---|---|---|---|---|
Variable | Odds Ratio (95% CI) | p-Value | Odds Ratio (95% CI) | p-Value | Odds Ratio (95% CI) | p-Value | Odds Ratio (95% CI) | p-Value |
Unadjusted odds: single variable model with exposure to case managers versus usual care | ||||||||
Care manager | 0.80 (0.74, 0.86) | <.01 | 1.42 (1.31, 1.64) | <.01 | 1.24 (1.08, 1.41) | <.01 | 1.20 (0.98, 1.54) | .10 |
Adjusted odds: multivariable model included age, sex, race, risk score (number of comorbidities), testing history, and control history | ||||||||
Care manager | 0.79 (0.72, 0.85) | <.01 | 1.49 (1.3, 1.71) | <.01 | 1.31 (1.14, 1.51) | <.01 | 1.26 (1.02, 1.57) | .04 |
Significant variables* | Age, risk score, testing history | Age, risk score, testing history | Age, race, risk score, testing history, control history | Age, control history | ||||
Selected odds from model | ||||||||
Age (reference=60–69) | <.01 | <.01 | <.01 | <.01 | ||||
20–29 | 1.8 (1.5, 2.15) | 0.64 (0.48, 0.85) | 0.45 (0.36, 0.58) | 0.61 (0.41, 0.9) | ||||
80+ | 1.26 (1.08, 1.46) | 0.84 (0.68, 1.05) | 0.92 (0.81, 1.03) | 0.5 (0.32, 0.77) | ||||
Deyo risk score (reference=1) | <.01 | <.01 | <.01 | |||||
2 | 1.25 (1.15, 1.36) | 0.77 (0.67, 0.88) | 0.87 (0.8, 0.94) | Nonsignificant | ||||
3 or more | 1.42 (1.11, 1.83) | 0.9 (0.63, 1.29) | 0.76 (0.59, 0.97) | |||||
Testing history (reference=regular) | <.01 | <.01 | <.01 | |||||
No tests | 10.85 (8.47, 13.87) | 0.27 (0.19, 0.39) | 0.1 (0.07, 0.15) | |||||
Irregular | 2.48 (2.28, 2.71) | 0.69 (0.61, 0.79) | 0.57 (0.52, 0.63) |
Sex was not significant in any component, but was included in the final multivariable model.
HbAlc, glycosylated hemoglobin; LDL, low-density lipoprotein.